| Internal Limiting Membrane Peeling with or without Indocyanine Green in Macular Hole Surgery. |
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Young Ho Choi, Joon Woo Park, Young Wook Cho |
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Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea. ywcho2@kornet.net |
| 특발성 황반원공에서 내경계막 제거함에 있어 인도사이아닌그린 염색 사용여부에 따른 수술 결과 |
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최영호,박준우,조영욱 |
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Department of Ophthalmology, Daegu Fatima Hospital, Daegu, Korea |
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Correspondence:
Young-Ho Choi, M.D. |
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| Abstract |
PURPOSE
In this study, the outcome of internal limiting membrane (ILM) peeling in idiopathic macular hole surgery with or without indocyanine green (ICG) was investigated. METHODS: Thirty eyes of 28 patients with idiopathic macular hole stage 3 or 4 who underwent vitrectomy were included. Follow-up duration in all cases was longer than 6 months. We analyzed the anatomical and functional results of macular hole surgeries using ILM peeling with (15 eyes) and without ICG (15 eyes). RESULTS: There were no significant differences in sex, age, symptom duration, hole size, preoperative corrected visual acuity, or follow-up duration between the two groups. Anatomical success rates were 93.3% (14/15 eyes) in ILM peeling with ICG and 80.0% (12/15 eyes) in ILM peeling without ICG. In the cases of anatomical success, there was a statistically- significant difference between the functional success rates of 50.0% (7/14 eyes) in ILM peeling with ICG and 91.7% (11/12 eyes) in ILM peeling without ICG. CONCLUSIONS: While there was no statistically-significant difference in the anatomic success rate for idiopathic macular hole surgery with and without ICG, our results suggest the ILM peeling using ICG might produce a negative effect on functional success. Further studies are necessary to evaluation the toxicity of ICG in the context of macular hole surgery. |
| Key Words:
Idiopathic macular hole;Indocyanine green;Internal limiting membrane |
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